Individual
DR. SCOTT B JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1633 MEDCIAL CENTER POINT, COLORADO SPRINGS, CO 80907-3981
(719) 576-4744
(719) 226-8738
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
38546
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35179058
—
CO
Enumeration date
03/16/2006
Last updated
10/29/2020
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